Chapter 603: 594 This is too amazing, right?

Director Wang, it's me, Old Xia.

Yeah, I have a patient who needs an MRCP in the Emergency Department; could you help me out?

Speaking, she covered her phone and asked: "Chief Zheng, are you saying you want to do an MR 3D reconstruction?"

Yeah, might as well do it while we're at it. If we did a CT 3D reconstruction, we'd have to make the patient run around, which is a hassle." Zheng Ren said.

Director Wang, we also need to do an MR 3D reconstruction.

Not offered? Oh, okay, I'll bring the patient over then, sorry for the trouble.

After speaking, Director Xia hung up the phone and told Zheng Ren: "Chief Zheng, our hospital doesn't offer MR 3D reconstruction."

Oh, it's generally not offered." Zheng Ren said: "The slices for MR reconstruction need to be thicker, and the effect isn't as good as CT 3D reconstruction."

Well...

It's fine, just take a quick look; MR is enough. It saves the patient some money and doesn't need to be too clear.

I mean, no one can do it.

Director Xia, I know no one can do it, I'll handle it myself." Zheng Ren then realized where the misunderstanding with Director Xia lay, smiling and said: "After you finish contacting that side, you send a doctor to bring the patient for an MRCP, I'll follow over to take a look and do the reconstruction—at most twenty-plus minutes."

Director Xia looked at the youthful, vigorous Zheng Ren, feeling many emotions.

However, this isn't ordinary youthful vigor; their vigor comes from deep confidence.

In clinical medication, ceftriaxone is a common drug; Director Xia has used it for decades and never encountered sand-like stones.

She guessed that if Zheng Ren was telling the truth, perhaps she had encountered it before but didn't do the relevant test; the patient had no symptoms and healed on their own after discharge.

But regardless, this is a hidden danger, one that even a veteran clinical director like herself, with decades of experience, failed to notice.

She was curious inside, anxiously waiting for Zheng Ren to bring the patient for the examination, then immediately went to the dispensing room to find a nurse.

The nurse in charge of dispensing didn't know why the usually strict Director Xia was looking for her; seeing her anxious expression, she felt uneasy.

Upon hearing that Director Xia wanted the ceftriaxone package insert, she immediately breathed a sigh of relief.

She quickly found a box of ceftriaxone, opened the packaging, tore open the box, and took out the insert.

After a glance, the text was too small, so she went to the front nurse station's convenience area, grabbed a magnifying glass, and brought it together to Director Xia.

Director Xia picked up the ceftriaxone insert, opened it, found the contraindications and adverse reactions section, and examined it carefully with the magnifying glass.

The more she looked, the more Director Xia's heart pounded with alarm.

It clearly stated: gallbladder ultrasound may be misinterpreted as gallbladder stones; these shadows disappear with the end or termination of the drug's treatment.

After using the drug for over ten years, it actually has this special drug reaction……

Director Xia was stunned.

She vaguely recalled that when she was a young doctor, the Roche-produced Rocephin (ceftriaxone) had just entered clinical use, gaining favor among clinicians for its good efficacy and moderate price.

Back then she also looked over the insert, kinda… sort of… vaguely… she had an impression that she had read it.

Director Xia had gone from being a young doctor to an experienced veteran, yet she had never encountered a single case, nor even heard anyone talk about it; this one-in-ten-thousand possibility had long been forgotten in the back of her mind.

Now reminded by Zheng Ren, upon seeing the insert, Director Xia broke out in a cold sweat.

This young doctor, truly a carp leaping over the dragon gate, transforming into a dragon!" Director Xia held the magnifying glass, stared at that line of text, and was dazed for a moment.

How could he remember such a bizarre side effect/adverse reaction? And upon hearing her describe the patient's symptoms, he could immediately confirm it.

Impressive, truly impressive!

Director Xia suddenly recalled a rumor spreading widely in the hospital lately—supposedly a German professor had come all the way to Hai Cheng to study surgery with Chief Zheng.

She had seen Professor Rudolf Wagner before, but Director Xia, as a senior director, wouldn't be so curious as to gawk at a blond, blue-eyed foreigner like she might have decades ago.

That would be quite embarrassing.

Of course, Director Xia also didn't believe the foreign professor came to study with Chief Zheng.

Hospital gossip is mostly just for fun; if one really scrutinized it, most wouldn't hold up.

But now, Director Xia believes it.

Chief Zheng's level, this diagnosis… anyway, I'm completely convinced. Even if that foreigner came to study surgery with Chief Zheng, it's no big deal.

Should be!

Director Xia held the magnifying glass, blankly staring at that small line of text, having forgotten everything.

After who knows how long, the phone ring broke Director Xia's train of thought.

Her hand was a bit sore; she put down the magnifying glass, rubbed her eyes, and answered the phone.

Director Xia, the MRCP and reconstruction are done; take a look on your computer." Zheng Ren said on the phone, "The patient's images are quite typical, just like that—I'll hang up, we'll talk later."

Uh… one sigh hadn't even finished when Zheng Ren delivered another surprise.

Bilateral gallbladder malformation?

Could it really be true?

Director Xia immediately moved her sore, numb, aching wrist, opened the computer, and found the patient's MRCP images.

Just as she was about to look, the phone rang again.

Director Xia was somewhat irritable.

She was so eager to see the patient's images, to see what this bilateral gallbladder malformation actually was.

But the phone ring…… for any doctor, could be an emergency case requiring them to rush to resuscitation or consultation.

Out of years of habit, although Director Xia wasn't happy about it, she still picked up the phone.

It was Director Wang from the Nuclear Magnetic Resonance room calling.

Director Xia frowned, wondering why he was calling her; the Nuclear Magnetic Resonance had just been done, right?

Old Wang, what's up? I'm busy right now." Director Xia spoke without any courtesy.

We're all veteran directors with years of experience; we're familiar enough that we don't need to be polite.

Old Xia, the one who just came—is that Chief Zheng from the Emergency Department?

You don't know?

Emergency rarely does Nuclear Magnetic Resonance, so of course I don't know. Emergency Department, only know Director Pan.

What's the phone call about? Speak quickly, I'm busy on this end.

It's nothing, just confirming with you. Nuclear Magnetic Resonance room Director Wang said: "I say Director Xia, that Chief Zheng looks young, but he's really skilled at MR reconstruction."

Recently, my classmate suddenly had massive hematemesis; he did the emergency TIPS Surgery. Director Xia said: "He's a formidable person."

The two sighed a few lines about the Yangtze's later waves pushing the earlier ones; Director Xia had something on his mind and hurriedly hung up.

She clicked open Nuclear Magnetic Resonance on the computer and suddenly saw two gallbladders appear in the image!

Double gallbladder!

Double gallbladder malformation!

Note 1: Ceftriaxone sodium causing biliary stasis, one case, *Chinese Journal of Drug Application and Detection*.